Individual
MARK M SPANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-4030
(217) 784-4405
Mailing address
3 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-4030
(217) 784-4405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036092859
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092859
—
IL
Enumeration date
12/06/2006
Last updated
08/11/2020
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